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Objectives There is growing interest in the ability of automated infrared pupillometry to assess severity of neurological illness. We studied the correlation between computed tomography (CT) indicators of intracerebral hemorrhage (ICH) severity with objective measures of the pupillary light reflex (PLR), and hypothesized that hemorrhage volume would predict the Neurological Pupil index™ (NPi™), an indicator of pupillary reactivity. Methods This study examined data from patients with supratentorial ICH who underwent serial pupillometer evaluations. CT images were examined to determine the location and laterality of the hemorrhage, along with hematoma volume (using the simplified ABC/2 method), midline shift, hydrocephalus score, and modified Graeb score (indicating interventricular hemorrhage). Demographics were examined with standard measures of central tendency, hypotheses with logistic regression, categorical data with Fisher’s Exact X2, and multivariate modeling with constructed MAX-R models. Results Data were gathered from 44 subjects. ICH volume exhibited the strongest correlation with NPi (ipsilateral [r2 = 0.48, p Conclusion ICH volume and shift of midline structures correlate with NPi, and abnormalities in NPi can be predicted by hematoma volume and other CT indicators of ICH severity. Future studies should explore the role of NPi in detecting early hematoma expansion and worsening midline shift.

Introduction: Hand-held automated pupillometry reliably evaluates the pupillary light reflex (PLR) at the bedside and there is growing interest in studying its ability to detect midline shift and mass effect. We hypothesized that intracerebral hemorrhage (ICH) volume would correlate with objective measures of PLR, specifically the Neurological Pupil index (NPi). Methods: This was a retrospective study of ICH patients with serial pupillometer readings admitted to the Neurocritical Care Unit and enrolled in the END-PANIC registry. CT images were examined to measure hematoma volume using the simplified ABC/2 method, midline shift, hydrocephalus score, and Graeb score to measure interventricular hemorrhage. Demographics were examined with standard measures of central tendency, hypotheses with logistic regression, categorical data with Fisher’s Exact X 2 , and multivariate modeling with constructed MAX-R models. Results: Of 44 subjects, 50% were male and the mean age was 65.4 years. ICH location was deep in 56.8% and lobar in 43.2%. There was a significant correlation between ICH volume and NPi of the pupil ipsilateral (r 2 =0.48, p2 =0.39, p2 =0.25, p=0.0006], contralateral[r 2 =0.15, p=0.0106]), as did shift of the pineal gland (ipsilateral[r 2 =0.21, p=0.0017], contralateral[r 2 =0.11, p=0.0328]). No statistically significant correlation was found between hydrocephalus score or Graeb score and NPi. ICH volume was the most predictive of abnormal NPi (Figure 1). Conclusions: The NPi correlates with ICH volume and shift of midline structures. Abnormalities in NPi can be predicted by hematoma volume. Future studies should explore the role of NPi in detecting hematoma expansion and worsening midline shift.

Introducción: La citología cervicouterina se ha convertido en el principal método de búsqueda de cáncer cervicouterino y de su agente causal, el Virus del Papiloma Humano. La neoplasia cervicouterina es muy frecuente y letal, frente a la cual los programas de tamizaje bien organizados son un método apropiado y efectivo para disminuir su incidencia y mortalidad. Materiales y métodos: Estudio descriptivo de carácter retrospectivo, en donde se buscó estratificar sociodemográficamente la población y los reportes de citología cervical realizados en un centro de salud universitario en la ciudad de Popayán durante el año 2015. Los resultados se analizaron mediante Microsoft Excel 2010 para su interpretación y su distribución. Resultados: Se obtuvo información de 154 pacientes con un promedio de 37,42 años de edad;, el estado civil predominante fue unión libre n: 69 (31%), el régimen de salud más frecuentemente encontrado fue subsidiado n: 105 (68%). El 72% (n: 111) tuvo como motivo de consulta “citología”. El 28 % (n: 43) consultó por otro motivo diferente al de tamización. Fue: normal 21 (13%), anormalidades en células epiteliales 13 (8.9%), no se documentaron anormalidades en células glandulares ni carcinoma invasor. Conclusión: La citología cervicouterina continúa siendo el pilar en los programas de tamizaje de cáncer de cuello uterino. El futuro apunta al desarrollo de programas nacionales dirigidas a determinaren la importancia de la tamización y la magnitud real del problema. Palabras clave: Cérvix, cáncer, Células Escamosas Atípicas del Cuello del útero, displasia del cuello del útero, tamizaje, diagnóstico, citología.(Fuente DeCS BIREME)

In 1956, the Mexican American modern dance choreographer José Limón presented The Emperor Jones, an all-male dance based on the 1920 Eugene O’Neill play. Limón’s Emperor loosely follows the plot of O’Neill’s play, which famously tells the story of an African American Pullman porter who makes himself emperor of a “West Indies” island. To portray O’Neill’s characters, Limón put himself and his all-male cast in black body paint. Limón’s painted body is examined as three bodies: a brown Mexican body; a white “American” body (with the privilege to represent the Other); and the black body of the Brutus Jones character. Focusing on Limón’s homosocial casting, performance techniques, and engagement with minstrelsy, this article shows how Limón’s freedom to dance as a brown, black, and white body did not reveal the decline of raced and gendered borders, but rather their resilient presence as part of the field on which his dances were produced.